Discussion

 I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

ZERO PLAGIARISM 

   Generalized anxiety disorder (GAD) is a common disorder that the PMHNP will encounter. Understanding the diagnosis criteria and differentiating it from other disorders is important for the client’s well-being. Diagnostic criteria according to the DSM-5 is described as 3 or more symptoms of anxiety which include easily fatigued, concentration difficulties, irritability, sleep difficulties, muscle tension, and restlessness for more days than not over a 6 month period causing significant impairment not explained by other disorders or drug use (American Psychiatric Association, 2013). Adjustment disorder is described as a stress related disorder that includes one or more of an identified stressor causing excessive worrying, preoccupation or distressful thoughts or rumination causing significant impairment in important life areas (Zelviene, Kazlauskas, and Maercker, 2020). There are some similar symptoms between anxiety and adjustment disorder such as the excessive worrying but differences are identified as well. The adjustment disorder is more specific to an unpleasant event or stressful situation where the GAD is not associated with a certain event.

          Treatment for generalized anxiety disorder can involve psychopharmacology and psychotherapy. According to Stefan et al. (2019), cognitive behavioral therapy has been identified as the most effective psychotherapy for GAD. Incorporating this can be helpful to change the client’s anxious thoughts and beliefs to improve feelings. According to Slee et al. (2019), SSRI’s  and SRNI’s have been shown to be most effective in treatment of GAD with the current study showing efficacy from duloxetine, pregabalin, venlafaxine, escitalopram, fluoxetine, sertraline and buspirone. Properly assessing and choosing one of these medications as well as the psychotherapy could give the client the best chance at a reduction in symptoms.

Resources

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Slee, A., Nazareth, I., Bondaronek, P., Liu, Y., Cheng, Z., & Freemantle, N. (2019). Pharmacological treatments for generalised anxiety disorder: A systematic review and network meta-analysis. The

Lancet393(10173), 768–777. https://doi-org.ezp.waldenulibrary.org/10.1016/S0140-6736(18)31793-8

Stefan, S., Cristea, I. A., Szentagotai Tatar, A., & David, D. (2019). Cognitive‐behavioral therapy (CBT) for generalized anxiety disorder: Contrasting various CBT approaches in a randomized clinical trial. Journal

of Clinical Psychology75(7), 1188–1202. https://doi-org.ezp.waldenulibrary.org/10.1002/jclp.22779

Zelviene, P., Kazlauskas, E., & Maercker, A. (2020). Risk factors of ICD-11 adjustment disorder in the Lithuanian general population exposed to life stressors. European Journal of Psychotraumatology11(1).

https://doi-org.ezp.waldenulibrary.org/10.1080/20008198.2019.1708617

Are you struggling to create a sound and comprehensive nursing paper? Do you feel overwhelmed with the amount of time and effort it takes to write a good piece? Are you looking for the best nursing paper writing service that can assist you in your nursing paper needs? Look no further than our skilled team of professional writers who specialize in providing high-quality papers with the best nursing paper writing services reviews. Make your order at nursingpaperhelp.com

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now